Tool 2A: Interdisciplinary Team Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care Word Version [ - 40.94 KB]Background: Crucial to a fall prevention initiative is the creation of an interdisciplinary Implementation Team that will oversee the improvement effort. This tool can be used to identify people from different disciplines to take part on the Implementation Team.Reference: Developed by Falls Toolkit Research Team.How to use this tool: This tool contains three parts:Use the first list provided to form your Implementation Team. This tool should be filled out by the Implementation Team leader. List the names of possible team members from each department or discipline and their area of expertise.The second list provides all the tools and resources included in the toolkit and which team roles and disciplines may be responsible for the tool. The team leader or team members can refer to this list to access the tools and ensure that appropriate people are selected for inclusion on the team.The last part, a matrix, provides the team roles and disciplines that may be included on the Implementation Team tools and the related tools and resources. Potential team members can review the tools most relevant to them to gain a better sense of their roles and responsibilities in fall prevention.The core Implementation Team should be a reasonable size (e.g., 6-12 people) in order to be effective. Additional staff may be included on an "as needed" basis. When you create a new team or invite new members to a team, make sure to set aside time for introductions at the beginning of your team meeting.Interdisciplinary Team Tool—Part 1: List of Potential Team MembersPosition/DisciplineNames of Possible Implementation Team Members From Each AreaArea of ExpertiseNursingStaff nurses Nursing assistants RehabilitationPhysical therapists Occupational therapists Prescribing CliniciansPhysicians (e.g., hospitalist) Other providers (e.g., nurse practitioner or physician assistant) PharmacyPharmacists Facilities and EnvironmentMaterials manager Environmental services staff Facilities engineer ManagersSenior manager Quality improvement/safety/risk manager OtherInformation systems staff Administrative assistant Educator Registered dietitian Patient representative Volunteer Interdisciplinary Team Tool—Part 2: List of Tools and Roles of Individuals Who Should Use the ToolThis list provides all the tools and resources included in the toolkit and which team roles and disciplines should use the tool. The team leader or team members can refer to this list to access the tools and ensure that appropriate people are selected for inclusion on the team.Notes: For some of the tools listed below, the Implementation Team leader may wish to designate an individual to complete the tool on the team's behalf.Items marked with an asterisk (*) can be integrated into your hospital's electronic health record with the help of information systems staff.Tools and ResourcesWho Should Use the ToolØA—Introductory Executive Summary for StakeholdersSenior manager (e.g., Chief Executive Officer or Chief Medical/Nursing/Operating Officer)1A—Hospital Survey on Patient Safety CultureAll interdisciplinary team members and staff on units preparing to implement the fall prevention program1B—Stakeholder AnalysisImplementation Team leader (e.g., senior manager or quality improvement/safety/risk manager)1C—Leadership Support AssessmentImplementation Team leader1D—Business Case FormImplementation Team leader1E—Resource Needs AssessmentImplementation Team leader1F—Organizational Readiness ChecklistImplementation Team leader2A—Interdisciplinary TeamImplementation Team leader2B—Quality Improvement ProcessImplementation Team leader2C—Current Process AnalysisIndividuals designated by the Implementation Team leader2D—Assessing Current Fall Prevention Policies and PracticesIndividuals designated by the Implementation Team leader2E—Fall Knowledge TestStaff nurses and nursing assistants2F—Action PlanImplementation Team leader with quality improvement/safety/risk manager2G—Managing Change ChecklistImplementation Team leader3A—Master Clinical Pathway for Inpatient FallsQuality improvement/safety/risk manager, staff nurses, and nursing assistants3B—Scheduled Rounding ProtocolUnit manager, staff nurses, and nursing assistants3C—Tool Covering Environmental Safety at the BedsideUnit manager and facility engineer3D—Hazard Report FormAny hospital employee who enters patient rooms3E—Clinical Pathway for Safe Patient HandlingNurse manager, staff nurses, and nursing assistants3F—Orthostatic Vital Sign MeasurementStaff nurses and nursing assistants3G—STRATIFY Scale for Identifying Fall Risk Factors*Staff nurses3H—Morse Fall Scale for Identifying Fall Risk Factors*Staff nurses3I—Medication Fall Risk Scale and Evaluation Tools*Pharmacist and staff nurses3J—Delirium Evaluation Bundle: Digit Span, Short Portable Mental Status Questionnaire, and Confusion Assessment Method*Physicians, nurse practitioners, physician assistants3K—Algorithm for Mobilizing Patients*Nursing assistants3L—Patient and Family EducationEducators, staff nurses3M—Sample Care Plan*Staff nurses with input from other disciplines (e.g., physician, pharmacist, physical and/or occupational therapists)3N—Postfall Assessment, Clinical Review*Staff nurses and physicians3O—Postfall Assessment for Root Cause AnalysisStaff nurses3P—Best Practices ChecklistImplementation Team leader4A—Assigning Responsibilities for Using Best PracticesImplementation Team leader4B—Staff RolesUnit manager4C—Assessing Staff Education and TrainingImplementation Team leader4D—Implementing Best Practices ChecklistImplementation Team leader5A—Information To Include in Incident ReportsQuality improvement/safety/risk manager, information systems staff5B—Assessing Fall Prevention Care ProcessesUnit manager and unit champions5C—Measuring Progress ChecklistImplementation Team leader6A—Sustainability ToolImplementation Team leaderInterdisciplinary Team Tool—Part 3: Matrix of Applicable Tools, by RoleThis matrix lists the disciplines that may be included on the Implementation Team and shows tools and resources they may be responsible for. The team leader or team members can use this list to access the tools and ensure that appropriate people are selected for the team.Position/DisciplineTools and Resources123A3B3C3D3E3F3G3H3I3J3K3L3M3N3O3P456NursingStaff nurses XX XXXXX XXXX Nursing assistants XX XX X Nurse manager X RehabilitationOccupational therapists X Physical therapists X Prescribing CliniciansNurse practitioners X Physicians X XX Physician assistants X PharmacyPharmacist X X Facilities and EnvironmentFacility engineer X ManagersQuality improvement manager XX X Risk manager XX X Safety manager XX X OtherEducators X Hospital employees who enter patient rooms X Unit champion X Unit manager XX X Implementation Team leaderXX XX XIndividuals designated by the Implementation Team leaderXX XX XReturn to Roadmap Current as of January 2013 Internet Citation: Tool 2A: Interdisciplinary Team: Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. January 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallpxtoolkit/fallpxtk-tool2a.html
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